196349 04/13/2011 A CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
y I ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA PCK AMOUNT: $47.95
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 196349
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 0851898 10.99 789921
1207 4350000 0851898 36.96 790200
Control No. 5 7 55399
CARMEL NAPA
III MEDICAL DRIVE y OCR y REMIT :GPC INE)
REF BY VER BY 59 59 C 0 L L TI 0 C* -D
Y -E
CARPEL, 1.4 460,322922 CH L692 II;AA
1000060177899211 BY I L 6- E MU E
ALL GOODS R11 ST BE ACC6M THIS INVOICE
ACCT NO. SOLD TO DATE M960 MM STORE NO. EMP LSR
5' -iii? 1595 CITY OF (CIARMEL./BROOKS111
ii, U 9921 Old I g
I civic SO 1 C) f I TIME PURCHASE ORDER NO. EkTION
CARMEL, 1N 46C.)322584 INVOICE PE a, e
-Q UANTITY PART NUMBER LINE DESCRIPTION PRICE NET `0TA U COPE
1 0 0 1.55 ii SME SW1*fCH 14. 10. 9900 1 0., 139
SUB
TOTAL 10 99 M'R 0. 00 17. 0000 0 TOTAL
1 N 1 C). 39 1
Control No.
CARMEL NAP1,1 5755712
III KEDICk DRIVE y CJCR y RE'M I o G PI I N1)
REF BY FER BY 59 C 0 L L E UT *10 N CJ R. D S,.
CAMCL,71N 4mm F2 C�;iICAGO ILL. 6(1693"
RECEIVED
1000060177902001 By x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE M%@MM STORE NO. EMP SR
8 0 01.898 CITY OF' CARMEL/BROOKSHI C) m9,'2011 79('_')2( 0601.7 .1
1
1 c v I S (2 1 f TIME I PURCHASE ORDER NO. ATTENTION
CARMEL, IN 460322564 151
(25) INV OICE T YPE
etIc-
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
BF-41 WARRAN 5 2, 5 3 S. 4 1 3 61. 4 9 CR
This item pui on invoice 7566(16
Core Deposit f5 o W C R D
8 L2 i': I I, 8A f 5.0
I 0,") 8 22 13A f BA T'l Ry 53. 2 36. 413 0 36. 491
1.0) B� 24 BA T Care Deposit 5. 0 i 0 00 =1 00 D
12.4D 8 2224 BA 11' UARRANTY ADM M 3. Ob s)6 D
SUB r\ MISC. in t n u J
TOTAL L/ I I TAX TOTAL c 0 i
Control No. r
u o QaappD CARMEL NAPA 5 7 5 5 713
III KEDICAL DRIVE y OCR y REM, I T- GPC I NI)
REF BY VER BY 5959 COLLECTION C'TR. DR.
WE, IN 460M%2 CHICAGO ILL. 6o693
RECEIVED
1000060177902001 By x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I MT,�@M M I STORE NO. EMP SR
85•0018`:38 CITY OF• 7902001 0601 1 �3 1
1 civic sc! 2 of TIME I PURCHASE ORDER NO. F
CARMEL, IN 460-322"-56-4 o8 151 1
(25) 1 INVOICE T YPE Charge Snle
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
Purcha ed Date 0-3/1'9/2010
SUB 0 0 TOTAL
�OT�L TAX
�ISL
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
7,
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #frITLE AMOUNT Board Members
i I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1207 789921 43- 500.00 $10.99
materials or services itemized thereon for
1207 790200 43- 500.00 $36.96
which charge is made were ordered and
received except
Thursday, March 31, 2011
Director, Brooks ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/25/11 789921 Repair Parts $10.9
03/29111 790200 Repair Parts $36.9
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer